Organization
DANIEL MAX & MARC ANDREA LLC
Active
Other names
My EyeLab
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN PIPHER CANTRELL (MANAGER OF HEALTH SERVICES)
(561) 208-8464
Entity
Organization
Contact information
Practice address
3321 SW ARCHER RD, GAINESVILLE, FL 32608-1745
(352) 244-0450
(561) 828-8367
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
(561) 208-8464
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
08/16/2023
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